Purchase a Plan

Travel Agent Location
Agent Information
Location Number (if applicable)
This number can be found on the back
of your brochure (e.g.: 33-7777)
Agent Code
Invoice Number
Travel Agent
Plan Options
 
Travel Max
Underwritten by Transamerica Casualty Insurance Company

 
Trip Cancellation
 

Trip Information
Departure Date*
RadDatePicker
RadDatePicker
Open the calendar popup.

(mm/dd/yyyy)
Return Date*
RadDatePicker
RadDatePicker
Open the calendar popup.

(mm/dd/yyyy)
Final Destination*
select
 
Tour Operator
select
 
Cruise Line
select
 
Originating Airline
select
 
Primary Traveler Information
 
First Name*  
Last Name*  
 
Date of Birth* (mm/dd/yyyy)
 /  / 
 
Trip Cost* (ex. 1000 or 1000.00)  

Are you a United States Citizen?*
Address*
 
 
 
City*
 
State*
Zip*
  
Country*
select

Phone*
     
Fax 
     
Email
 
Beneficiary
(max 256 chars)
 
 
Please Note: $200,000.00 aggregate trip cost for all covered travelers for the same covered trip.
Additional Traveler Information
Traveler #2
 
First Name*
Last Name*
 
Date of Birth* (mm/dd/yyyy)
 /  / 
Trip Cost* (ex. 1000 or 1000.00)

Traveler #3
 
First Name*
Last Name*
 
Date of Birth* (mm/dd/yyyy)
 /  / 
Trip Cost* (ex. 1000 or 1000.00)

Add Travelers
Maximum limit of 10 immediate family members per policy.
Upgrade Your Plan
 

View Details
Policy Document Delivery Options
 
Delivery Method
 


 
Recipient #1
(Optional) Recipient #2

* Required Field
Plan Details
Travel Max
Benefits
Coverage Per Person

Trip Cancellation
100% of Insured Trip Cost
Trip Interruption
150% of Insured Trip Cost
Trip Delay
$1,000
Missed Cruise Connection
$1,000
Baggage / Baggage Delay
$2,500 / $600
Medical Expense Benefits
$100,000
Medical Evacuation / Repatriation of Remains
$1 Million
Common Carrier AD&D
$50,000
24 Hour AD&D
$25,000
Travel Assistance*
Included
Rental Vehicle Damage
$50,000
Flight Accident AD&D
$200,000
Policy Details
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For Assistance Please Call (800) 228-9792
The above information contains a brief description of benefits. Refer to the applicable Description of Coverage or Evidence of Coverage (the "Plan") for a summary of the Plan details. Certain conditions, exclusions, and limitations apply as set out in the Plan. Products may not be available to residents of all states. If there is any conflict between the contents of this website and the Plan, the Plan will govern in all cases. Travel Assistance Services provided by the designated provider as listed in the Description of Coverage or on your Confirmation of Coverage.